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EVAN S. DISICK, D.D.S.
NPI 1821019407
Dentist - General Practice in Mill Valley, CA

Active since July 21, 2006
591 REDWOOD HWY, BUILDING 2000, SUITE 2110, MILL VALLEY, CA 94941(415) 381-4321(415) 381-4056 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evan S. Disick, D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN S. DISICK, D.D.S. (NPI 1821019407) is a healthcare organization registered as a general practice in Mill Valley, California and active in the NPI registry since July 2006. The organization lists Evan Schaffer Disick, President, as its authorized official.

NPPES Registry Identity

NPI1821019407
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDISICK DENTAL CORPORATION
Location Address591 REDWOOD HWY, BUILDING 2000, SUITE 2110Mill Valley, CA 94941-6001
Mailing Address591 Redwood Hwy, Building 2000, Suite 2110Mill Valley, CA 94941-6001 · (415) 381-4321 · Fax (415) 381-4056
Phone(415) 381-4321
Fax(415) 381-4056
Organization SubpartNo
Authorized OfficialEvan Schaffer DisickPresident · (415) 381-4321
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821019407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

591 REDWOOD HWY, Mill Valley, CA 94941
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Other Names 1

Doing Business AsEvan S. Disick, D.d.s.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE TOMITA PT & ASSOCIATES
Physical Therapist
591 REDWOOD HWY, #5260
MILL VALLEY, CA 94941
Marin County (415) 381-0541
DR. EVAN SCHAFFER DISICK D.D.S.
Dentist (General Practice)
591 REDWOOD HWY, BUILDING 2000, SUITE 2110
MILL VALLEY, CA 94941
Marin County (415) 381-4321
DAVID A LAUB MD, A PROFESSIONAL CORPORATION
Dermatology
591 REDWOOD HWY, SUITE 2210
MILL VALLEY, CA 94941
Marin County (415) 381-6661
DR. RITU SOOD DISICK DDS
Dentist (General Practice)
591 REDWOOD HWY, SUITE 2110
MILL VALLEY, CA 94941
Marin County (415) 381-4321
DAVID A LAUB M.D.
Dermatology
591 REDWOOD HWY, SUITE 2210
MILL VALLEY, CA 94941
Marin County (415) 381-6661
RESOLUTION PAIN RELIEF
Chiropractor
591 REDWOOD HWY, STE 2300
MILL VALLEY, CA 94941
Marin County (415) 389-9000
DR. MARSHA GUISARD MD
Physical Medicine & Rehabilitation
591 REDWOOD HWY, SUITE 5285
MILL VALLEY, CA 94941
Marin County (415) 380-1840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Disick Dental Corporation's NPI number?

The NPI number for Disick Dental Corporation is 1821019407. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Evan S. Disick, D.D.S..

Where is Disick Dental Corporation located?

Disick Dental Corporation is located at 591 Redwood Hwy Building 2000, Suite 2110, Mill Valley, CA 94941. The listed phone number is (415) 381-4321.

What is Disick Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Disick Dental Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.